Organization
BANNER DESERT MEDICAL CENTER
Active
Parent organization
BANNER HEALTH
Other names
Jewels Garden Oncology Boutique
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
MR. DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1400 S DOBSON RD, ONCOLOGY GIFT SHOP, ROOM 1053, MESA, AZ 85202-4707
(480) 412-5959
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
12/23/2021
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